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Useful Templates – Aphasia Institute
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Useful Templates

To edit or translate the below templates, you will need Adobe Reader installed on your computer.

Pictographic resources developed by the Aphasia Institute will be most effective when supported with techniques that are part of the Supported Conversation (SCA™) method. Use this resource before using the below templates.

EFFECTIVE USE OF PICTOGRAPHS
TO SUPPORT HEALTHCARE CONVERSATIONS

‘I want to talk about…’ template

This template allows you to create a conversation resource.
Please right click on this link and choose “Save Link As…” to save this to your computer and view this PPTX.

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Consent Form template

This template allows you to create an aphasia-friendly consent form.
Please right click on this link and choose “Save Link As…” to save this to your computer and view this PPTX.

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Yes/No/Wrong Track

This template is used to verify the topic of conversation. You can edit the text to translate to any language.

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COVID-19 Screening Tool

Resource facilitating conversation around COVID-19 screening before entering a location. You can print this template as is or translate it to a different language.

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Vaccination Resource

Resource facilitating conversation around COVID-19 vaccines and accessible information. This resource can be translated and links can be added.

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Vaccination Resource – ONTARIO

Resource facilitating conversation around COVID-19 vaccines and accessible information for ONTARIO.

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Warning Signs of Stroke

Resource facilitating conversation around the warning signs of stroke and the need to go to hospital even during the pandemic. The last page allows you to create a custom conversation resource.

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Healthcare has Changed

Resource facilitating conversation around new methods to accessing healthcare with COVID-19. This template facilitates conversation around this topic in any language. The last page allows you to create a custom conversation resource. 

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Residential Facilities

Resource facilitating conversation around new rules within residential facilities. This template facilitates conversation around this topic in any language. The last page allows you to create a custom conversation resource.

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Go To Rehabilitation 

This template facilitates conversation around the need to visit rehab and that hospitals are safe – in any language. The last page allows you to create a custom conversation resource.

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Go To Hospital

People with stroke symptoms or other medical concerns risk their health when they stay away from emergency departments out of fear of contracting COVID19. This template facilitates conversation around this topic in any language. The last page allows you to create a custom conversation resource. 

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Consent for Online Programs

This template is for consent to use online programs to connect with clients. Adapted from materials created by Halton-Peel Community Aphasia Program and Beyond Words. The last page allows you to create a conversation resource. To edit this template, you will need Adobe Reader installed on your computer. 

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What to Do

This translatable template facilitates conversation around what to do regarding COVID-19 and isolation. This version includes additional information about physical distancing, and who to call in case of emergencies . The last page allows you to create a conversation resource.

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"Volunteering at the Aphasia Institute has been an amazing experience. It’s such a great feeling to help someone express themselves, or help someone understand another’s message. It can be challenging sometimes, but that just makes the moment a connection goes through that much more special. More than anything, I really appreciate the strong sense of community that the Aphasia Institute creates and being a part of that community."
- Vidya David, Volunteer
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